Annual Report 2012 - SIM-one

AnnualReport 2012

Table ofContents

SIM-one: Today and Tomorrow

A Snapshot of Simulation

Simulation and Health Professions Education

SIM-one and Simulation-Based Learning

Governance Update

Key Performance Indicators

SIM-one Divisions

Education

Core Simulation Courses

Keystones Certificate

Member Services

Ontario Simulation Exposition

Membership Drive

Information Collection

Communications

Research & Development Fund

Consulting Services

I

VII

II

VIII

III

IV

V

VI

Ontario’s healthcare system faces many challenges. As described in the 2012 Drummond Report, the cost

of healthcare is rising and some difficult decisions will need to be made; however, most Ontarians demand

that the system not only remain intact but also improved upon.

At SIM-one we are committed to doing our part to create a more sustainable, cost-efficient and high quality

healthcare delivery and education system. Strategically aligned with the objectives of the Ministry of Health

and Long-Term Care, Ministry of Training, Colleges and Universities and Ministry of Economic Development

and Innovation, SIM-one is working to add further value to Ontario’s economy and healthcare system through

its innovative educational offerings, provincial simulation equipment coordination service, and shared agenda

for further research, commercialization and innovation.

SIM-one’s educational portfolio grew at a rapid rate in fiscal year (FY) 2011-12. Our educational offerings,

for example, nearly tripled in size from the previous fiscal year with SIM-one’s “The Keystones of Healthcare

Simulation” certificate program leading the way. Launched in 2010, the first-of-its-kind Keystones certificate

is designed for learners who are interested in a more immersive experience in healthcare simulation and—

like all of SIM-one’s offerings—is an inclusive program for all health professions. SIM-one is also expanding

its educational offerings to include virtual reality and e-learning as well as offerings in French to better serve

Ontario’s francophone community. As part of our outreach strategy, we are partnering with member centres

to offer SIM-one courses in their local communities. SIM-one is training the next generation of simulation

educators through its innovative course offerings.

Dimitri Anastakis MD, MHPE, MHCM, FRCSC, FACS, FICS

Executive Director, SIM-one

3

SIM-one:Today and Tomorrow

I

The more interconnected Ontario’s simulation network, the greater the potential for collaboration and innovation.

This past year, SIM-one made great strides in connecting Ontario’s vast simulation enterprise. For example,

during its Member Centre Drive, SIM-one successfully signed up 40 simulation centres and programs from

across the province as SIM-one members. We have also seen a large increase in the number of individuals

visiting the SIM-one website www.SIM-one.ca, social media followers and e-newsletter subscribers.

SIM-one advocates for the advancement of simulation-based learning in health professions’ education. We are

facilitating opportunities for further commercialization and innovation in Ontario. The Province represents one

of the world’s largest simulation clusters, and SIM-one has actively collaborated with Ontario-based simulation

businesses. This collaboration was witnessed firsthand at SIM-one’s annual Ontario Simulation Exposition—

held on December 1, 2011—where the event attracted a record 14 industry exhibitors and profiled new

Ontario-based start-up simulation companies. SIM-one will build upon this success during the 2012 Ontario

Simulation Exposition, which has been expanded to a two-day event due to popular demand. The 2012 Expo

will take place on December 6 and 7, 2012 in Toronto.

SIM-one is fully implementing its planned Research and Development Division, laying down the foundations

for further commercialization and innovation. SIM-one will hire a new Director to lead this division. The new

Director will reach out to Ontario’s simulation research community and work collaboratively with simulation

leaders from across the Province to develop a process to award simulation research grants in FY 2012-13.

This is yet another example of how SIM-one creates value for its members.

The challenges facing Ontario’s healthcare system may seem daunting to most, but simulation presents us with

an opportunity to think outside of the box. Through collaboration and innovation, SIM-one—with the support

of its community—will further position Ontario as the global leader in healthcare simulation.

SIM-one:Today and Tomorrow

4

Simulation and Health Professions Education

Simulation is significant and rapidly growing in health professions education across Ontario. It is used throughout Ontario’s 23 universities and 24 colleges—particularly those with health science and community service programs—as well as in the clinical setting. Simulated learning is used in the education of:

• Ontario’s 21 regulated health professions

• Paramedics and first responders

• Social workers and personal support workers (PSWs)

• Hospital support staff, including environmental support workers (ESWs)

5

A Snapshotof Simulation

II

What isSimulation?

Simulation is the imitation or emulation of some real thing, state of affairs or process. It is a methodology to help achieve educational goals. The most powerful and efficacious simulations are conducted based on strong educational principles, run by expert facilitators and within the context of the objectives of a curriculum.

Simulation in the healthcare sector encompasses a range of activities that share a broad, similar purpose— to improve the quality and safety of healthcare services. Simulation can include a variety of modalities, ranging from:

• manikins

• task trainers

• standardized patients

• moulage & props

• environmental elements

• psychological factors

• e-blended learning and e-simulations

• film/video

• hybrid forms of the above

The key to using simulation effectively is to match appropriate levels of fidelity of a simulation to the learning objectives and level of training of the learners. High fidelity simulations, such as manikins, are not needed for every type of learning encounter—and in fact, may be poorly matched for the needs of the session. Cost-effective choices of using what is needed to create the proper level of challenge and maintain the simulation “reality” is the true art of the simulationist.

Simulations can be created for individuals, teams and agencies to improve patient safety (e.g. creating scenarios that enhance communication, management skills and assessment abilities). Simulation can be geared to the learners’ experience and the context of training. One can match the intensity and goals of a simulation for new students to seasoned, well-trained teams of healthcare providers. Simulations can also guarantee that learners be exposed to certain healthcare situations that are rare and often would not come up during training, but may help them when they go into the field. Due to the multiple ways of observing a simulation, a rich wealth of feedback is available for learners to absorb and use in their development as healthcare providers.

6

Health Professions Education in Ontario

Ontario features a robust health professions educational system. Currently, there are 21 health professions colleges (legislated under the Regulated Health Professions Act, 1991) regulated by the Province of Ontario. In 2010, more than 10,000 newly qualified health professionals registered with Ontario’s regulatory colleges (see below). Nurses formed the largest single group of registrants at 5,349, followed by Physicians at 1,392.

Regulated Health Professions Training in Ontario (2010)

Source: http://www.fairnesscommissioner.ca/en/about/current_projects/frp_reports.php

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Dental HygienistsMassage Therapists

Medical Radiation TechnologistsOpticians

PhysiotherapistsOccupational Therapists

Medical Laboratory TechnologistsRespiratory Therapists

ChiropractorsPharmacists

DietitiansAudiologists and Speech-Language Pathologists

Dental SurgeonsOptometrists

PsychologistsMidwives

DenturistsChiropodists (and podiatrists)

Dental Technologists

# new registrants # applications received

ApplicantsNurses 8,657Physicians 1,380

RegistrantsNurses 5,349Physicians 1,392

1,0008006004002000

Health Professions Training by LHIN

Health Professions Training by Population Centre

22 professions considered, including Naturopathy

22 professions considered, including Naturopathy

* Also have paramedic training.

Regulated health professions training is concentrated in Ontario’s larger population centres, which include Hamilton, Kingston, London, Ottawa, Sudbury, Thunder Bay, Toronto and Windsor.

LHIN

7 Toronto Central

2 South West

11 Champlain

4 Hamilton Niagara Haldimand Brant

13 North East

10 South East

8 Central

3 Waterloo Wellington

14 North West

1 Erie St. Clair

9 Central East

12 North Simcoe Muskoka

5 Central West

6 Mississauga Halton

# of Professions

18

12*

10*

8*

8*

8*

7

7*

6*

5*

4*

4*

2*

2

City

Hamilton

Kingston

London

Ottawa

Sudbury

Thunder Bay

Toronto

Windsor

Availability of Health Professions Training

8

8

12

10

7

6

21

5

8

Educational programs for these regulated health professions can be found throughout Ontario’s 14 local health integration networks (LHINs) and large population centres.

The Benefits of Simulation-Based Learning

Simulation-based learning in health professions education has positive benefits that will help improve patient safety, patient care and ultimately the overall quality of health in Ontario. The positive impacts of simulation include the following:

Improved patient care and patient safety

Experience and expertise minimize the risk of medical error and patient harm. Long gone are the days of “see one, do one, teach one”. Learning through simulation, whether electronic and sophisticated (high fidelity), or simple and low-tech (low fidelity), enhances the likelihood that patient care will be safe.

Simulation and Interprofessional Education (IPE)

Simulation and IPE improve patient safety. A primary reason for medical errors is poor communication amongst healthcare providers. IPE recognizes that teamwork and communication are just as important as clinical skills in improving patient safety.

Simulation provides an environment for multiple health professionals to come together to learn about, from and with each other. In addition, strong theoretical underpinnings are helping lead the way for both simulation and IPE to be increasingly important in both clinical-based education and curricula for health professions in universities and colleges across Canada.

Faster and more efficient healthcare

The Association of Canadian Community Colleges (ACCC) and the Collaborative Forum on Health Science Education funded a project, entitled “Simulation Enhanced Learning and Clinical Competence”, that was to investigate the effectiveness of simulation in the education of healthcare professionals, especially in developing core communication skills. In the end, the project was able to demonstrate that simulation-enhanced learning can lead to a quicker adjustment for healthcare professionals upon entering the workplace. In fact, the results showed that two hours of simulation-enhanced learning was the equivalent of 150 hours of clinical time.

9

SIM-one and Simulation-Based Learning

SIM-one—the Ontario Simulation Network—connects the simulation community, facilities, resources and services across the Province of Ontario, and provides important services to the simulation community, including education and training, and consulting services. Fully supported by the Ministry of Health and Long-Term Care (MOHLTC), SIM-one’s vision is to position Ontario as the global leader in healthcare simulation.

10

The OntarioSimulation Network

SIM-one is connecting Ontario’s vast simulation enterprise, including its community, resources, facilities and services. A highly integrated network is essential in creating more collaboration and innovation.

Since 2010/11, 40 simulation centres and programs have signed up as SIM-one member centres. These include:

The Ontario Simulation Network

Algonquin College Health Studies Simulation Centre

Allan Waters Family Patient Simulation Centre

Bloomberg Nursing Simulation Laboratory, University of Toronto

Brock University Department of Nursing Clinical Simulation Lab

CAE/Michener Centre for Advancement of Simulation and Education (CASE)

Canadian Memorial Chiropractic College (CMCC) Simulation Laboratory

Canadian Surgical Technologies & Advanced Robotics (CSTAR) at London Health Sciences Centre

Canadore College/Nipissing University

Centennial College Health Studies Lab

Centre for Addiction and Mental Health (CAMH)

Centre for Ambulatory Care Education (CACE)

Centre for Interprofessional Education, University of Toronto

Collège Boréal Le laboratoire Gisèle Chrétien

Conestoga College Centre for Clinical Simulation

Confederation College REACH Simulation Centre

Dr. Herbert Ho Ping Kong Centre for Excellence in Education and Practice (CEEP), University Health Network (UHN)

ELLICSR: Health, Wellness and Cancer Survivorship Centre

Fanshawe College of Applied Arts & Technology Interprofessional Clinical Learning and Simulation Lab

George Brown College Simulated Practice Centre

Georgian College of Applied Arts & Technology Health Simulation Lab

Holland Bloorview Kids Rehabilitation Hospital

Humber Institute of Advanced Learning and Technology – Clinical Simulation Learning Centre

iDAPT, Toronto Rehabilitation Institute, UHN

Interprofessional Centre of Excellence in Simulation, UOIT

La Cité Collégiale Lab Simulation

Learning Institute Simulation Program, The Hospital for Sick Children

Loyalist College Human Simulation Laboratory

Niagara College Nursing Simulation Lab

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12

The Ontario Simulation Network (continued)

PREPS at Mount Sinai Hospital

Psychiatry Simulation Innovation Centre, Mount Sinai Hospital

Queen’s University Clinical Simulation Centre

Ryerson University Professional Practice and Simulation Lab

Seneca College Simulation Program

SickKids Learning Institute Simulation Program

Southlake Regional Health Centre

St.Lawrence College/Nursing Programs

Sunnybrook Canadian Simulation Centre

University of Ottawa Skills and Simulation Centre (uOSSC)

University of Toronto Surgical Skills Centre at Mount Sinai Hospital

University of Western Ontario, Department of Medicine

York University Nursing Resource Centre

York Region EMS

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SIM-one is expected to become a not-for-profit public benefit corporation some time in 2012 as articulated in our current and future Transfer Payment Agreement with the Ministry of Health and Long-Term Care (MOHLTC). We will be incorporating in Ontario in accordance with the new Provincial Incorporation Act.

As part of the process, SIM-one has expanded its interim Board of Directors (see next page) who have all committed to moving incorporation forward. The steps to incorporation are described in the table on page 15.

One of the most important steps is defining the by-laws of the corporation and the classes of membership. There are two classes of members: voting and non-voting. The voting members are responsible for electing the first official Board of Directors that will be installed shortly following incorporation. The list of potential new directors will be put forward by the interim Board of Directors. Nomination of the future Board will be based on the skills and attributes deemed necessary to help SIM-one fulfill its mandate and vision.

GovernanceUpdate

III

ChairCatharine Whiteside

Dean, Faculty of Medicine; Vice ProvostRelations with Health Care Institutions University of Toronto

Paul GamblePresident and CEO

The Michener Institute of Applied Health Sciences

Sioban NelsonDean, Lawrence S. Bloomberg Faculty of Nursing

University of Toronto

Maureen ShandlingVice President Medical Affairs

Mount Sinai Hospital

Dimitri AnastakisExecutive Director

SIM-one

Patricia HoustonVice President, Education

St. Michael’s Hospital

Lorie Shekter-WolfsonDean, Community Services and Health Sciences

George Brown College

Gordon PorterExecutive Vice President Medical and Academic Affairs

Thunder Bay Regional Health Sciences Centre

Barbara FouldsAssociate Dean Health Studies, Chair Nursing Studies

Algonquin College

SIM-one Interim Board of Directors

14

Checklist of Steps to Incorporate SIM-one

Components

Funding Agreement 1. Contract with MOHLTC

Incorporation 2. Select Lawyer

Governance 3. Draft By-laws

Governance 4. Establish Inaugural Members & Board

Governance 5. Decide upon Officers

Governance 6. Establish Executive Committee

Governance 7. Establish Advisory Group/Board Committees

Partnership Development 8. Sign-off MOUs with Partners

Strategic Framework 9. Documentation

Infrastructure & Operations 10. Accommodation

Infrastructure & Operations 11. Staffing

Infrastructure & Operations 12. Bank

Infrastructure & Operations 13. Audit (& Tax Returns)

Infrastructure & Operations 14. Accountant

Infrastructure & Operations 15. Insurance

Infrastructure & Operations 16. Communications & Website

Status

In progress

In progress

In progress

In progress

In progress

In progress

In progress

In progress

In progress

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SIM-one Key Performance Indicators(As of March 31, 2012)

KPI

Net Revenue

Satisfaction

Value

Centre Membership

Total

142,511*

4.34

4.12

40

Target

310,500

5

5

50

% Achieved

46%

80%

* Revenues of $125,000 of corporate matching funds will not be realized this fiscal year due to the seven-month delay in receiving

the signed TPA from the MOHLTC and the subsequent delay in recruiting a Director of Research and Development

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Key PerformanceIndicators

IV

Simulation Provincial Equipment Coordination Service

In Development

Research& Development

[email protected]

Consulting Services

[email protected]

Educational Products

[email protected]

Member Services

[email protected]

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SIM-oneDivisions

V

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SIM-one is training the next generation of educators through its innovative course offerings. For example, SIM-one offers a first-of-its-kind certificate program, “The Keystones of Healthcare Simulation”, and is also expanding its educational offerings to include virtual reality and e-learning as well as offerings in French to better serve Ontario’s francophone community.

SIM-one’s educational offerings are designed for all healthcare professionals who are interested in learning more about the healthcare simulation field. To ensure high quality and needs-based offerings, SIM-one actively pursues working relationships with organizations from across the province and various sectors.

All of SIM-one’s educational activities are conducted with the goal of promoting interprofessional education (IPE), with our faculty and educators coming from various healthcare/educational fields—including nursing, medicine, respiratory therapy, EMS, standardized patients, etc. SIM-one will continue to keep IPE and interprofessional care (IPC) as primary drivers for the delivery of its educational offerings.

Moving forward, SIM-one’s Education Division will incorporate more patient safety components. In fact, the special theme of SIM-one’s Ontario Simulation Exposition in 2012 will be centred on simulation and its role in improving the quality of healthcare, including patient safety. SIM-one’s educational offerings will continue featuring networking, thus building a culture of shared discovery for its members to develop healthcare simulation excellence in Ontario.

Due to the amazing success of the Education Division, the development of intermediate and advanced certificate programs are underway, along with a variety of new workshops ranging from the creative artistic elements to the technical details of simulation. Special workshops on IPE and Simulation, Patient Safety and Simulation, and more are scheduled for piloting in the near future. In addition, the development of online educational tools to allow more distance and asynchronous learning will be incorporated into the offerings. SIM-one will also be having its first Simulation Education Celebration event where we will be giving out certificates to the first graduates of the Keystones of Healthcare Simulation certificate program.

EducationVI

SIM-one CoreSimulation Courses

The Essentials of Simulation October 20–21, 2011

This course covers the essential need-to-know elements of simulations for learners, including how to run a simulation, essential educational factors for success and how to use it in research and interprofessional team training.

Participating Institutions

Total participants = 13

• Canadian Memorial Chiropractic College (CMCC)

• Canadore College

• Georgian College

• Seneca College

• Sunnybrook Health Sciences Centre

• Trillium Health Centre

• University of British Columbia

• Vancouver Island Health Authority

• York University

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The Frame of Simulation November 10–11, 2011

The materials learned during this course can be used for all forms of experimental and simulation exercises, such as attitudinal training, communication and team building, professionalism and managerial tasks. These abilities can be employed in many contexts, including task trainers, manikins, online interactive cases, standardized patients and more.





• Danbury Hospital

• Frontenac EMS


• Holland Bloorview Kids Rehabilitation Hospital

• The Hospital for Sick Children

• Mohawk College

• Niagara College

• Ryerson University



• University of Saskatchewan

• York EMS

• York University

Karin Page-Cutrara RN, BNSc, MNUndergraduate Program DirectorSchool of Nursing, York University

The Frame of Simulation offers real value to both beginners and more experienced facilitators. The comprehensive course structure and opportunities to engage allows for participants to see the potential for simulation in their areas of teaching and encourages them to explore possibilities for research. Fantastic!

“

”

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Simulation Centre Wizardry February 23–24, 2012

During this course, participants hear and learn from the people who are not only behind the scenes, but actually help create them. Participants learn how to obtain and create low-cost equipment and simulation models, cost-effective fidelity boosts, pearls on what works and what doesn’t for engaging learners, the basics needed to have your own simulation centre, and much more.





• Centre for Addiction and Mental Health (CAMH)


• Loyalist College

• Mohawk College


• Seneca College

• Southlake Regional Hospital



• York University

Ramin Ahmadi MD, MPHChair of the Department of Medical Education & ResearchDanbury Hospital, U.S.A.

What an outstanding course! It was highly interactive with hands-on learning sessions of simulation design and strategies. The faculty was dynamic and insightful. I can’t wait for the next course in the series. Thank you SIM-one!

“

”

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E3: Exploring E-Simulation and E-Blended Learning March 26 & 30, 2012

New from SIM-one, participants in this course will learn how to identify essential principles and how to choose different types of e-simulations and e-blended learning approaches for enhancing their own teaching practices and incorporating these modalities into their own settings.




• Seneca College


22

”

“The course discussed the transformative potential of e-simulations in enhancing teaching, learning and assessment in blended learning environments. For anyone who develops, modifies and teaches educational content in healthcare settings, this course gets you out of your comfort zone and immediately involved in championing e-simulations as a part of your organizational learning strategy.

Sandra BennettEducational Specialist CAMH – Centre for Addiction and Mental Health

June 16–24, 2011

SIM-one has designed the first ever collaborative certificate program with George Brown, Centennial College and Ryerson University to help mentor and support participants in developing their careers in the exciting field of healthcare simulation. This six-day course gave participants the opportunity to tour all three facilities and help them develop an improved understanding, attitudes and skills for the use of different forms of simulation for enhancing clinical teaching and learning. Through the course, participants focused on identifying essential principles and how to choose different types of simulations for enhancing their teaching practices.



• Centennial College

• George Brown


Summer SimulationInstitute

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May 3–6, 2011

SIM-one and The Wilson Centre presented their 3rd annual Simulation-Based Research Refined Atelier, a four-day intensive program in simulation-based education research. The workshop focused on guiding participants in developing improved understanding and skills in simulation-based research design and implementation. Through the course, participants developed all elements of a research study (research questions, study design, data collection & analysis details) that advances the field of simulation to a sufficient degree that it would be ready to implement at their home institution.





• IMIP, Recife, Brazil


• Maastricht University

• Maine Medical Center

• Northern Alberta Institute of Technology (NAIT)

• Northern College

• St. Michael’s Hospital


• York EMS

ResearchAtelier

24

Launched in 2010, the popular Keystones of Healthcare Simulation certificate program is designed for learners who are interested in a more immersive experience in healthcare simulation. Like all of SIM-one’s offerings, the Keystones is an inclusive program designed for all health professions.

To obtain the Keystones certificate, candidates are expected to complete at least three of SIM-one’s core courses (i.e., The Essentials of Simulation, The Frame of Simulation, Simulate Centre Wizardry, and E3: Exploring e-Simulation and e-Blended Learning). Candidates must also develop a scholarly project, submit reflection papers and participate in the SIM-one Simulation Rounds to present on their activities. All candidates are given a reflection journal to help document their development in the field and, as part of developing their simulation project, will be matched up with a mentor in the field.

Since its implementation, the Keystones program has seen overwhelming success. Many interested individuals have registered for the program and SIM-one will see its first Keystone graduates in June 2012.





• Collège Boréal



• Humber College


• Niagara College


• Seneca College




• University of Toronto

• York EMS

• York University

KeystonesCertificate

Dominic Giuliano BSc(Kin), DCSimulation Lab CoordinatorCanadian Memorial Chiropractic College (CMCC)

The Keystones is a program that helped me put perspectives and knowledge together to make a very challenging learning environment a very rewarding and successful means to an end. I would highly recommend this program as it is very comprehensive and “hands on” in its approach. The people that run this program have all the knowledge, direction and passion to help every health professional (regardless of which field) succeed in their own institutions.

“

”

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SIM-one offers its members value-added services, including networking opportunities and events such as the Ontario Simulation Exposition. We pride ourselves on being an inclusive, interprofessional network, with growing membership coming from the academic, hospital and industry sectors.

MemberServices

VII

SIM-one’s annual Ontario Simulation Exposition is the province’s premier simulation event, celebrating the creativity, dedication and accomplishments of Ontario’s healthcare simulation community.

The Ontario Simulation Exposition continues to grow in value. The 2011 Expo took place at the Westin Harbor Castle in Toronto and featured plenty of networking, interaction and informative presentations from expert speakers. Two hundred and sixty eight individuals registered for the 2011 Expo.

The special theme of the 2011 Expo was “Patient Safety and Simulation”. Expo guests had access to 34 academic presentations, including 15 posters, 14 booths and 5 video presentations that highlighted the diversity and value of Ontario’s healthcare simulation network. SIM-one also took advantage of a fairy tale meta-theme, “Grimms’ Tales of Patient Safety and Simulation”, to create an environment—with magical characters included—that was both informative and fun for attendees.

Testimonials from anonymous survey results

”

I valued the presentations, both from a leadership perspective, as well as the roles in evidence-based standards, not only clinically, but in the education and academic areas.

The speakers were excellent and really sparked my interest in incorporating more simulation into my clinical practice.

Everything worked well. Great interprofessional gathering.

“

““

”

”

Ontario Simulation Exposition

SIM-one was very pleased to have Saäd Rafi, Deputy Minister of the Ministry of Health and Long-Term Care (MOHLTC), as the opening speaker. During his remarks, Mr. Rafi spoke about the value of having a single, effective and efficient healthcare simulation network, as well as the important “evidence-based” role clinical simulation can play in enhancing Ontario’s healthcare system. Mr. Rafi also spoke in detail about the “Excellent Care for All” Act, which he said focuses on “patient-centred care”.

The 2011 Expo also featured keynote speakers, a group as diverse as they were engaging. The keynote speakers included Bonnie Adamson, CEO of the London Health Sciences Centre, Dr. Yanick Beaulieu, Director of Ultrasound Education for CAE Healthcare, Dr. Patricia Trbovich, Academic Research Lead of Human Factors Group (UHN), and Dr. Michael Gardam, Medical Director of Infection Prevention & Control (UHN).

27

During his opening speech, Dr. Dimitri Anastakis, Executive Director of SIM-one, introduced attendees to the newly developed SIM-one video, entitled “Working to Make Ontario the Global Leader in Healthcare Simulation”. The video captures the size, scope and expertise of Ontario’s health professions simulation community, as well as the tremendous potential to further position Ontario as the global leader in healthcare simulation.

We are proud to boast that the 2011 Expo featured 14 industry exhibitors—a major improvement from last year’s event. The Expo was designed to be a forum where attendees could interact with both the academic community and industry exhibitors.

Industry Exhibitors

• CAE Healthcare

• Gaumard

• Heart Zap Services

• HIROC

• Laerdal

• Lecat’s Ventriloscope

• LifeLike BioTissue

• Lifetronics Medical Inc.

• Limbs and Things

• Pocket Nurse

• Simbionix

• Spectrum Nasco

• Studiocode Group

• Surgical Science

Testimonials from Industry

I love SIM-one’s approach to industry,” said Karen Millon, President of Ontario-based LifeLike BioTissue. “It was a great opportunity to network with my industry colleagues, and to learn from and interact with all the different simulation centres.

I wanted to connect with people in Ontario,” said Karen Kennedy, founder of Simleggings, a Canadian company. “The Expo is such a different format from what I’m used to. When I visited a booth, I got to talk about simulation on a more personal level. I loved it.

“

“”

”

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SIM-one will expand upon last year’s success for the 2012 Ontario Simulation Exposition, which will be a two-day event taking place on December 6 and 7, 2012. The theme of the 2012 Expo will be on how simulation is being used to improve the quality of healthcare


• Algonquin College

• Baycrest Hospital

• Brock University

• CAE Healthcare

• Camosun College

• Canada Career College


• Canadian Patient Safety Institute (CPSI)

• Centennial College


• Centre for the Evaluation of Health Professionals Educated Abroad (CEHPEA)

• Chatham Kent Health Alliance

• Collège Boréal

• Colleges Ontario

• Conestoga College

• Credit Valley Hospital

• Durham College

• Fanshawe College

• George Brown College


• Hamilton Health Sciences

• HIROC



• Humber College

• Johnson and Johnson

• La Cité Collège

• Lambton College

• London Health Sciences Centre (LHSC)

• Manitoba Institute for Patient Safety

• MaRS

• McMaster Children’s Hospital

29

Participating Institutions (continued)

• Michener Institute

• Ministry of Health and Long-Term Care (MOHLTC)

• Ministry of Training, Colleges and Universities (MTCU)

• Mohawk College

• Mount Sinai Hospital

• Naked Creative Consultancy

• Northeastern Ontario Prehospital Care Program

• Quantum Transformation Technologies


• Seneca College

• Simleggings

• St. Clair College

• St. Joseph’s Healthcare

• St. Lawrence College

• St. Michael’s Hospital


• Thunder Bay Regional Health Sciences Centre (TBRHSC)

• Toronto Rehab

• Trillium Health Centre

• University Health Network (UHN)

• University of Ontario Institute of Technology (UOIT)


• University of Toronto

• York Central Hospital

• York University

30

MembershipDrive

SIM-one formally launched its Simulation Centre Membership Drive. The intent of the Drive is to attract as many of Ontario’s simulation centres and programs to sign up as SIM-one member centres, in order to create a collaborative environment.

As SIM-one members, these simulation centres/programs are profiled on the SIM-one website www.SIM-one.ca where their information—including key contacts, accomplishments, job postings and more—is posted for the benefit of Ontario’s healthcare simulation community.

The SIM-one Simulation Center Membership Drive has been tremendously successful to date, with 40 of Ontario’s simulation programs signing up as members.


• Algonquin College Health Studies Simulation Centre

• Allan Waters Family Patient Simulation Centre

• Bloomberg Nursing Simulation Laboratory, University of Toronto

• Brock University Department of Nursing Clinical Simulation Lab

• CAE/Michener Centre for Advancement of Simulation and Education (CASE)

• Canadian Memorial Chiropractic College (CMCC) Simulation Laboratory

• Canadian Surgical Technologies & Advanced Robotics (CSTAR) at London Health Sciences Centre

• Canadore College/Nipissing University

• Centennial College Health Studies Lab


• Centre for Ambulatory Care Education (CACE)

• Centre for Interprofessional Education, University of Toronto

• Collège Boréal Le laboratoire Gisèle Chrétien

• Conestoga College Centre for Clinical Simulation

• Confederation College REACH Simulation Centre

• Dr. Herbert Ho Ping Kong Centre for Excellence in Education and Practice (CEEP), University Health Network (UHN)

• ELLICSR: Health, Wellness and Cancer Survivorship Centre

• Fanshawe College of Applied Arts & Technology Interprofessional Clinical Learning and Simulation Lab

• George Brown College Simulated Practice Centre

• Georgian College of Applied Arts & Technology Health Simulation Lab

31

Participating Institutions (continued)


• Humber Institute of Advanced Learning and Technology – Clinical Simulation Learning Centre

• iDAPT, Toronto Rehabilitation Institute, UHN

• Interprofessional Centre of Excellence in Simulation, UOIT

• La Cité Collégiale Lab Simulation

• Learning Institute Simulation Program, The Hospital for Sick Children

• Loyalist College Human Simulation Laboratory

• Niagara College Nursing Simulation Lab

• PREPS at Mount Sinai Hospital

• Psychiatry Simulation Innovation Centre, Mount Sinai Hospital

• Queen’s University Clinical Simulation Centre

• Ryerson University Professional Practice and Simulation Lab

• Seneca College Simulation Program

• SickKids Learning Institute Simulation Program

• SIM-one

• Southlake Regional Health Centre

• St.Lawrence College/Nursing Programs

• Sunnybrook Canadian Simulation Centre

• University of Ottawa Skills and Simulation Centre (uOSSC)

• University of Toronto Surgical Skills Centre at Mount Sinai Hospital

• University of Western Ontario, Department of Medicine

• York University Nursing Resource Centre

• York Region EMS

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InformationCollection

Information from data. Insight from information.

As a provincial initiative, SIM-one is dedicated to the expansion and advancement of interprofessional healthcare simulation training and learning in Ontario, as this will lead to improvements in the quality of patient care and patient safety. To help support our vision to further position Ontario as the global leader in healthcare simulation, SIM-one has initiated strategies in an effort to better understand our members and the simulation landscape in Ontario.

Starting in 2010, SIM-one has dedicated resources to develop a Business Information Database (BID) with the specific goal to collect and organize information into one central repository. A central repository will enhance value for our members by providing insight into simulated-based education in the Province of Ontario; for example, the location of simulation centres, various educational course offerings, as well as relevant research and innovations in the field of simulation. In fiscal year (FY) 2012-2013, SIM-one will continue to build upon the BID initiative by developing and implementing a customized database which, in the future, will have the capacity to provide aggregate reports to our members and stakeholders.

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Communications

SIM-one is quickly becoming the information hub for all things healthcare simulation in Ontario, providing Ontario’s healthcare simulation community with regular news and events updates. To accomplish this, SIM-one uses a fully integrated communications delivery system—employing the SIM-one website, an email list serv and social media platforms—ensuring we reach as wide an audience as possible.

The face of SIM-one’s communications system is its website www.SIM-one.ca which is used to promote SIM-one’s offerings and news and events from Ontario’s healthcare simulation community. Launched in Spring 2011, the website has shown rapid growth. For example, the number of website visits peaked during the month before SIM-one’s 2011 Ontario Simulation Exposition (November) at 2,361; for the month of April 2011 this number was 753. The SIM-one website has also seen improvements in search engine optimization (SEO). The search word “SIM-one”, for example, now regularly appears in the top one or two spots in Google search engine results; last year, the word didn’t even appear in the top 100 list.

SIM-one regularly sends out an e-newsletter, called “Simulation in the News”, to its community. The e-newsletter contains profiles, features, news and events, much of which is regularly submitted to SIM-one by members of Ontario’s healthcare simulation community. The e-newsletter is fully integrated with the SIM-one website, helping to increase traffic to the latter. As of March 31, 2012, “Simulation in the News” had 1,126 subscribers.

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Our social media platforms also continue to see growth. All of SIM-one’s social media platforms have grown in the number of followers from March 31, 2011 to March 31, 2012. Our current platforms include Twitter, Facebook and LinkedIn.

In fiscal year (FY) 2012-13, SIM-one will improve the interactivity of its website and further integrate its various communications platforms. SIM-one will also develop a much sought after Communities of Practices, which will be used by our members to blog, comment and take part in online discussions.

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Algonquin College Health Science Simulation Lab Published by SIM-one in 2011

Opened in 2004, the Algonquin College Health Science Simulation Lab is dubbed by faculty as being the “first of its kind”. The lab features an operating room (OR), a 3-bed intensive care unit (ICU) and a 9-bed ward unit. The lab has an open-concept design, meaning there are no walls separating the units.

“Management decided to have an open lab with few walls so the lab could be used for a combination of case-based team and individual simulations, and for large group training on task trainers,” said Sheena Barton, Clinical & Lab Instructor. “This would allow for multi-purpose use of the lab for small and large groups, also allowing for different groups and activities occurring at the same time.”

The lab was designed to be as flexible as possible and to address needs in the community, including clinical placement issues and the need to enhance the skills of foreign-trained nurses. To address these needs, managers from Algonquin College did extensive traveling, visiting top simulation labs throughout North America, including the Laerdal Centre in Waco, Texas, the University of Maryland’s School of Nursing, and Temple College’s SIM Hospital.

“Seeing the other facilities gave us a clearer picture of what was possible here at Algonquin,” said Marlene Tosh, Chair of Specialty Nursing Programs, “such as how to rearrange what we had for lab space and how to expand current space.”

Algonquin College has integrated simulation into many of its programs, with all students having access to the simulation lab.

The various programs at the college use simulation differently, integrating elements pertaining to the specific profession. For example, in the Personal Support Worker (PSW) program there are two simulations run per semester, which are used to further develop a student’s skills and competence, particularly in communication and team building.

“The PSW students enjoy simulation as it brings the real world of clinical to the lab,” said Barton. “It helps with team building, decision making and helps prepare students for their first clinical rotation.”

In the Practical Nursing (PN) program, a death and dying component has been incorporated into simulation. “We felt it was important to have a component on death and dying in simulation for two reasons. Number one, it gave an opportunity for the students to have a safe place to explore and express their personal feelings; and number two, it introduced them to the reality of communicating with patients and family members who were coming to terms with death and dying in their own lives,” said Linda Godfrey, Lab & Clinical Instructor.

In the BScN program (year 3), students are given three weeks at the beginning of term to practice skills in preparation for simulation. For the last three weeks, the students have to pull these skills together. BScN year 4 students are given seven weeks to gain the skills for the 5 weeks of simulation that follow.

“Simulation prepares students by giving them a safe environment to practice their skills. The environment is arranged to mimic as close as possible to real-life in a hospital and this enables them to learn from their accomplishments and their mistakes in this safe environment,” said Kerri-Ann Joice, Lab & Clinical Instructor.

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Algonquin College also offers maternal newborn simulation training to its PN students (level 2) and BScN students (year 3). The simulations include preparation for typical novice-level situations that students are likely to encounter in the clinical setting. According to Lab & Clinical Instructor Judy Flieler, common scenarios include: postpartum assessment and care; newborn assessment and care; labour support for patient/family members; and offering assistance and education for patient/family regarding breastfeeding.

In addition, Algonquin College has developed an interprofessional collaborative simulation program with the University of Ottawa. This simulation module, which involved respiratory therapy students from Algonquin College and physiotherapy students from the University of Ottawa, took place earlier this year at the Algonquin College Health Science Simulation Lab. The feedback was very positive and the college is making plans to repeat this module in Winter 2012.

For its nursing, child and youth worker (CYW), and paramedic students, Algonquin College is looking into developing virtual reality simulation, with the college conducting its first virtual reality pilot study last spring. During the pilot, it was found that students’ knowledge, skills and attitudes had significantly improved.

During the actual exercise, students have two face-to-face meetings with standardized patients (SPs). However, instead of taking place in the real world, this meeting takes place in the virtual plane where each student has a personal avatar. The program initially involves a professor and a small group of students, but after two weeks the students take the lead.

“We are excited about simulation in virtual reality because it is an effective and novel way for students to develop their interprofessional competencies,” said Michelle Morley, Simulation Coordinator. “This is exciting because it provides students who are geographically dispersed the opportunity to meet in real time. The virtual world is engaging and interactive and helps us overcome barriers such as scheduling or booking a classroom.”

Morley adds that virtual reality simulation would be available to students 24 hours per day, seven days per week and might offer ways for students to collaborate with others from around the world.

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Research &Development Fund

SIM-one’s efforts to lay down the foundations for further innovation and commercialization will continue to grow as SIM-one fully implements a new Research and Development Division and the hiring of a Director to lead this Division. The Director of Research and Development along with leaders in the simulation research community will create the process SIM-one needs to award an anticipated $250,000 per year in research grants. This is yet another example of how SIM-one creates value for its members.

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SIM-one offers a variety of consulting services centering on course development, program development, and simulation centre design and operations. Drawing on the wealth of expertise within Ontario’s healthcare simulation network, SIM-one acts as a central administration and project management centre that assembles teams of consultants most suitable to our client’s needs. As a not-for-profit organization, we are able to make our offerings affordable to clients who are typically healthcare or educational institutions.

In fiscal year (FY) 2011-12, SIM-one had consulting contracts with the University of Moncton, the University of Toronto’s Standardized Patient Program (SPP), and Frontenac EMS.

ConsultingServices

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Documents

Annual Report 2012 - SIM-one